Deficiency Records for Jackson Gardens Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Jackson Gardens Health and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-06-22 | 2023-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-21 | 2023-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-21 | 2023-07-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-19 | 2022-07-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-19 | 2022-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-19 | 2022-07-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-19 | 2022-07-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-19 | 2022-07-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-05-19 | 2022-07-19 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-19 | 2022-07-19 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-17 | 2022-07-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-17 | 2022-07-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-05-17 | 2022-07-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-05-17 | 2022-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-17 | 2022-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-17 | 2022-07-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-17 | 2022-07-19 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-04-22 | 2021-05-15 | Y |
| Report COVID19 data to residents and families. | Health | 2021-04-22 | 2021-05-15 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-04-22 | 2021-05-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-13 | 2021-05-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-09 | 2021-03-25 | Y |
